Resource Details

Managed Care Data Checklist

Companion Document to Video Module: Payer Data: The Managed Care Data

Year Developed: 2022

Resource Type: Toolkit.

Primary Audience: Administrative Staff Clinicians PCAs
Secondary Audience: Board of Directors C-Suite (CEOs, CFOs, CIO, COOs, CMOs, etc.) Enabling Staff Outreach Staff

Language(s): English

Developed by: HITEQ (See other resources developed by this organization).

Resource Summary: This checklist will walk you, the health center, through a series of common considerations for contracts you may receive from payers with a specific focus on contracts that include value-based payment components. This document assists organizations in understanding the necessary data and data-related tools for managing population health within a managed care environment.

Resource Details: This checklist will walk you, the health center, through a series of common considerations for contracts you may receive from payers with a specific focus on contracts that include value-based payment components. This document assists organizations in understanding the necessary data and data-related tools for managing population health within a managed care environment. It is a primer on the types of best-practices that are necessary to maximize care delivery models that are responsive to value-based payment programs. Follow this checklist to further your understanding of these considerations and to help flag any outstanding issues for legal and/or consultant review prior to execution.

Resource Topic: Health Information Technology (HIT)/Data, Promising Practice, Value-Based Health Care Transformation, Health Equity

Resource Subtopic: COVID-19, Research and Data, , Population Health, Development/Training, Data Collection Mechanism, Impact/Outcomes.

Keywords: Data Collection, Management, and Analytics, Implementation Tools, Non-Clinical Services, Partnerships, Patient Portals, Payment and Reform, Policies and Procedures.